Individual
KATHERINE AUGUSTA DIBARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(864) 321-1135
Mailing address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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